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Contact Information

KAREN A DETRICK, COTA
1040 PILGRAM WAY
WOODSIDE SENIOR COMMUNITIES
GREEN BAY, WI54304
 Phone: 920-405-3522
 Fax: 920-405-3523
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapy Assistant

224Z00000X
Indicates primary specialty

NPI Profile & details for KAREN A DETRICK · (Female)

NPI # 1316259898
Status Active
Credentials COTA (Certified Occupational Therapy Assistant)
Entity Individual
Enumeration date 07/13/2010
Last updated 07/13/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 883-27
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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